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Individual

DR. MELVIN DOUGLAS GOSSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2302 HURSTBOURNE VILLAGE DR, 700, LOUISVILLE, KY 40299-1840
(502) 495-2122
(502) 719-0146
Mailing address
1208 BLUEGRASS PKWY, LAGRANGE, KY 40031-8014
(502) 225-9488

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21642
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64216427
KY
Enumeration date
09/02/2006
Last updated
04/25/2017
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